Cervical cancer MRI

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Nima Nasiri, M.D.[2]

Pelvic MRI is helpful in the diagnosis of cervical cancer and also it is used for determining the better treatment modality for each patient and evaluation of lymph nodes involvement .

Magnetic resonance imaging techniques is very useful for evaluation of lymph node volume in patient with cervical cancer in advanced stage, other advantages of MRI techniques in patient with cervical cancer include:^[1]

• Better treatment modality for patient can be selected accurately with MR imaging, whether its surgery or radiotherapy.
• Brachytherapy and external beam therapy are done after detecting the direction of lesion growth by MRI.
• MR imaging also better identify small tumor size and lesion depth and metastatic lymph node involvement which will clarify whether the treatment is palliative or curative for patient with cervical cancer.

MRI findings are variable depending upon stage of cervical neoplasia, these findings are include:^[2]

• Exophytic cervical mass protruding into the posterior vagina.
• Cervical mass infiltrating the lower myometrium and endometrium.
• Hyperintense thickening of bladder wall
• Hyperintense image of lymph node
• Parametrial invasion

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